NCG520074_Compliance Evaluation Inspection_20211014

United States Environmental Protection Agency
E PA Washington, D.C. 20460
Water Compliance Inspection Report
Form Approved.
OMB No. 2040-0057
Approval expires 8-31-98
Section A: National Data System Coding (i.e., PCS)
1
21IIIIII
671
Transaction Code NPDES yr/mo/day Inspection
IN I 2 IL I 3 I NCG520074 111 121 21/08/26 117
Type
1810I
IIIIIIIIIII
Inspector Fac Type
19I S I 2011
IIIIIIIIIII IIIIIII I IIIIII
P6
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA Reserved
I 70I I 711 172 I N I 73I 1 74 71
I I J
I I I I I I 180
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
POTW name and NPDES Dermit Number)
Dale Rose Pit
Lynn Rd
Boonville NC 27011
Entry Time/Date
09:OOAM 21/08/26
Permit Effective Date
21/03/01
Exit Time/Date
12:OOPM 21/08/26
Permit Expiration Date
25/07/31
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
///
Other Facility Data
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
Joel J Greene,217 Asphalt Trl Elkin NC 28621//336-835-7506/3368352501
No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Other
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Gary Hudson DWR/Division of Water Quality/336-776-9694/
Signature
of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
FDocuSigned by:
L—o, T• StiAcr 10/14/2021
145B49E225C94EA...
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
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sI
NPDES yr/mo/day
N CG520074 111 121 21/08/26
117
Inspection Type
18 [j
1
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
The sand dredging operation site has not been used in over three years.
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Permit: NCG520074
Inspection Date: 08/26/2021
Owner - Facility: Dale Rose Pit
Inspection Type: Compliance Evaluation
Other Yes No NA NE
Comment: The sand dredging operation site has not been used in over three years.
Page# 3